MEDICARE: CARING COMPANIONS HOME CARE AGENCY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1578433868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING COMPANIONS HOME CARE AGENCY

Provider Business Mailing Address
First Line	:	3656 S IRBY ST UNIT A
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29505-5225
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1462 MOONLIGHT CIR
Second Line	:
City	:	LAKE CITY
State	:	SC
Zip	:	29560-4907
Country	:	US
Telephone Number	:	843-598-9454
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DOROTHY SIMMONS
Credential	:
Telephone Number	:	843-598-9454

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	11/11/2025

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